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General NPI Number Information
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NPI Number | 1013416189
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH FAPORE RPH.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 131 S PLEASANT AVE
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City | SOMERSET
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State | PA
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Zip | 15501-2189
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Country | US
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Telephone | 814-443-9500
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Fax | 814-445-5410
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Provider Business Mailing Address
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Address Line | 1207 CIN D LN
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City | SOMERSET
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State | PA
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Zip | 15501-2755
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Country | US
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Telephone | 814-445-8716
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Fax | 814-445-5410
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP032299L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RP032299L
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License Number State | PA
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